Bladder exstrophy: Modern staged repair experience in our institution.

Autor: Agbara KS; Department of Mother-Children, Félix Houpouet Boigny University, Cocody; Department of Mother-Children, Teaching Hospital, Treichville, Abidjan, Ivory Coast., Moulot OM; Department of Mother-Children, Félix Houpouet Boigny University, Cocody; Department of Mother-Children, Teaching Hospital, Treichville, Abidjan, Ivory Coast., Ehua MA; Department of Mother-Children, Félix Houpouet Boigny University, Cocody; Department of Mother-Children, Teaching Hospital, Treichville, Abidjan, Ivory Coast., Konan JM; Department of Mother-Children, Teaching Hospital, Treichville, Abidjan, Ivory Coast., Yapo Kouamé GS; Department of Mother-Children, Félix Houpouet Boigny University, Cocody, Abidjan, Ivory Coast., Traoré I; Department of Mother-Children, Teaching Hospital, Bouaké, Ivory Coast., Anon GA; Department of Mother-Children, Teaching Hospital, Treichville, Abidjan, Ivory Coast., Ajoumissi I; Department of Mother-Children, Teaching Hospital, Treichville, Abidjan, Ivory Coast., Konvolbo J; Department of Mother-Children, Teaching Hospital, Treichville, Abidjan, Ivory Coast., Bankolé RS; Department of Mother-Children, Félix Houpouet Boigny University, Cocody; Department of Mother-Children, Teaching Hospital, Treichville, Abidjan, Ivory Coast.
Jazyk: angličtina
Zdroj: African journal of paediatric surgery : AJPS [Afr J Paediatr Surg] 2022 Jul-Sep; Vol. 19 (3), pp. 167-170.
DOI: 10.4103/ajps.AJPS_167_20
Abstrakt: Introduction: Bladder exstrophy is a major malformation in paediatric urology. The treatment results are not still completely satisfactory, and their management is an enormous problem in Sub-Saharan Africa. While outlining our challenges, we report our management experience to improve our results.
Subjects and Methods: We retrospectively reviewed the records of patients undergoing surgical repair of classic bladder exstrophy at our department between January 2010 and December 2019 (10 years). Epidemiological, clinical, therapeutic and evolution data were analysed.
Results: Twenty-five children with classic bladder exstrophy were treated. Our series included 16 boys and 9 girls with a sex ratio of 1.7. Age ranged from 0 day to 6 years. Twenty-five bladder closures were performed, associated to pelvic osteotomy in 11 cases. Epispadias repair was performed on nine boys. Eight cases of bladder neck reconstruction and three cases of bladder enlargement were performed. We observed six bladder fistulas, four wound dehiscence, of which three partial, two parietal suppurations and six cases of urinary tract infection. Eight children had a continence of 1-2 h.
Conclusion: The treatment of bladder exstrophy in our context is still limited because of financial difficulties encountered by the population and the insufficient technical platform in our country.
Competing Interests: None
Databáze: MEDLINE
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